Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $147.91 / $288.40	Facility		$53.70	$147.91	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $169.82	Professional		$19.05	$25.12	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $60.26 / $128.82	Facility		$14.79	$60.26	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $75.86	Professional		$12.88	$22.39	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $346.74	Facility		$52.48	$93.33	$346.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $83.18	Professional		$20.42	$29.51	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $43.65 / $95.50	Facility		$17.38	$43.65	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $42.66	Professional		$15.14	$25.70	$42.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $41.69	Professional		$22.91	$25.70	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $25.70	Professional		$12.88	$25.70	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $75.86	Facility		$21.38	$30.90	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $58.88	Professional		$15.14	$21.88	$58.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $43.65	Professional		$20.42	$26.30	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.78 / $25.70	Facility		$11.48	$17.78	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $51.29	Professional		$10.96	$15.49	$51.29